A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?

"You are retaining a lot of sodium and potassium and that causes you to gain water weight"

"Your kidneys are not working correctly, so they can't get rid of extra water from your system"

"The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you."

"You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight."

Answer and Explanation

The Correct Answer is D

A. "You are retaining a lot of sodium and potassium, and that causes you to gain water weight.": SIADH involves dilutional hyponatremia, not retention of sodium and potassium.

B. "Your kidneys are not working correctly, so they can't get rid of extra water from your system.": SIADH results from excessive secretion of antidiuretic hormone (ADH), not kidney dysfunction.

C. "The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you.": SIADH causes water retention, not increased appetite.

D. "You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight.": This accurately explains that excess ADH leads to water retention, causing weight gain.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Insulin injections daily: Uncontrolled blood glucose levels, despite dietary compliance, indicate that the pancreas may not be producing adequate insulin. Daily insulin is necessary to control hyperglycemia in this situation.

B. Fluid restrictions: Fluid restrictions are not indicated unless the client has comorbidities like heart or renal failure.

C. Oral hypoglycemic medications: Oral medications are often ineffective for Type 1 diabetes or severe cases of Type 2 diabetes with marked hyperglycemia.

D. Peritoneal dialysis therapy: This is a treatment for end-stage renal disease, not uncontrolled diabetes mellitus.

A. Monitor for compression fractures of the back and neck. B. Glucocorticoids will boost immunity. C. Plan to check blood glucose levels for hypoglycemia once each year. D. Limit the intake of calcium rich foods while taking the medication.

Correct Answer is A

Explanation

A. Monitor for compression fractures of the back and neck: Long-term use of glucocorticoids increases the risk of osteoporosis, leading to compression fractures. Monitoring for these complications is critical for early intervention.

B. Glucocorticoids will boost immunity: Glucocorticoids suppress immune function, increasing susceptibility to infections. This statement is incorrect.

C. Plan to check blood glucose levels for hypoglycemia once each year: Glucocorticoids often cause hyperglycemia, not hypoglycemia, necessitating frequent monitoring, especially in individuals at risk of diabetes.

D. Limit the intake of calcium-rich foods while taking the medication: Calcium-rich foods are encouraged to mitigate the risk of glucocorticoid-induced osteoporosis, making this advice inappropriate.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which should the nurse anticipate the provider prescribing for treatment?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse receives a new prescription from the provider that reads "Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast." How many syringes should the nurse prepare? __________syringe

A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?

A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply) (Select All that Apply.)

A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse plan to offer a snack if meals are served around 0730, 1230, and 1730?

A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?